Healthcare Jobs in USA

About 558 results in (2) seconds Clear Filters

Jobs Search

About 558 results in (2) seconds
Accreditation Program Manager - NCQA SME at Molina Healthcare
Grand Island, Nebraska, USA - Full Time
Skills Needed
Leadership, Communication Skills, Visio, Continuous Improvement, Cphq, Medicare, Analytical Skills, Strategic Thinking, Written Communication, Public Health, Microsoft Project, Managed Care, Clinical Quality, Business Writing, Excel, Quality Improvement
Specialization
Healthcare or public health
Qualification
Graduate
Care Management Processor - Remote (Must reside in MA) at Molina Healthcare
Massachusetts, Massachusetts, USA - Full Time
Skills Needed
Case Management Services, Ged
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Senior Business Analyst (Health Plan Enrollment) - REMOTE at Molina Healthcare
Roswell, New Mexico, USA - Full Time
Skills Needed
Testing, Traceability Matrix, Cost Savings, Revenue, Business Analysis, Internal Customers, Research, Design, Functional Requirements, Operational Requirements, Requirements Workshops, Process Descriptions
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Transition of Care Coach (RN) at Molina Healthcare
Spokane, WA 99201, USA - Full Time
Skills Needed
Nutrition, Signs, Certified Case Manager, Service Providers, Advance Directives, Functional Support, Ccm, Consultation, Discharge Planning, Barriers, Care Coordination, Hospitalists, Medication Reconciliation
Qualification
Graduate
Experience Required
Minimum 1 year(s)
AVP, Medicare Duals Optimization (REMOTE) at Molina Healthcare
Cincinnati, Ohio, USA - Full Time
Skills Needed
Government Programs, Teams, Oversight, Excel, Managed Care
Qualification
Graduate
Representative, Customer Experience at Molina Healthcare
Texas, Texas, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Senior Analyst, Advanced PDM at Molina Healthcare
Rochester, New York, USA - Full Time
Skills Needed
Sql, Interpersonal Skills, Initiation, Adoption, Key Metrics, Excel, Functional Specifications, Healthcare Industry, Adherence, Timelines, Collaboration, Completion, Healthcare Management, Optimization, Training
Specialization
Business administration healthcare management or a related field or equivalent combination of education and experience
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Child Life Specialist Opportunities with Norton Healthcare in Louisville, K at Norton Healthcare
Louisville, KY 40201, USA - Full Time
Skills Needed
Good Communication Skills
Specialization
Child life child development psychology education or other health-related field
Qualification
Graduate
Specialist, Community Engagement Medicare (must reside in Wisconsin) at Molina Healthcare
Green Bay, WI 54303, USA - Full Time
Skills Needed
Completion, Relationship Building, Sales Skills, Salesforce.Com, Referrals, Tracking Systems, Community Centers, Sales Presentations, Community Outreach, Group Presentations
Qualification
Diploma
Surgery Center Administrator at Athena Healthcare
Cincinnati, OH 45227, USA - Full Time
Skills Needed
Communication Skills, Finance
Specialization
Healthcare administration preferred
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Medical Director at Molina Healthcare
Phoenix, Arizona, USA - Full Time
Skills Needed
Utilization Management, Medicaid, Consensus Building, Disease Management, Capitation, Communication Skills, Medicine, Medicare, Public Health, Program Management, Quality Improvement
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Community Engagement & Growth Specialist (Upstate NY, Rochester Preferred) at Molina Healthcare
Syracuse, New York, USA - Full Time
Skills Needed
Healthcare Marketing, Healthcare Industry, Schedules, Influencer, Educational Materials, Community Engagement, Membership
Specialization
Marketing or related discipline
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Psych Tech at Zodiac Healthcare
Rochester, New York, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Program Manager - Texas Directed Payment Program (DPP)/Medicaid at Molina Healthcare
Houston, Texas, USA - Full Time
Skills Needed
Microsoft Project, Data Analysis, Visio, Leadership, Communication Skills, Qnxt, Presentation Skills, Managed Care, Sql, Auditing
Qualification
Graduate
Program Manager (Direct Care Provider Workforce) - Ohio at Molina Healthcare
Ohio, Ohio, USA - Full Time
Skills Needed
Leadership, Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Vendor Program Manager at Molina Healthcare
Detroit, Michigan, USA - Full Time
Skills Needed
Leadership, Microsoft Project, Communication Skills, Visio
Qualification
Graduate
Manager, Healthcare Analytics - SQL/Power BI/Databricks - Remote - 2033281 at Molina Healthcare
Long Beach, CA 90802, USA - Full Time
Skills Needed
Reporting Requirements, Liaison, Economics, Data Analysis, Medical Management, Interfaces, Computer Science, Project Documentation, Finance, Information Systems, Financial Analysis, Report Development, Business Logic, Mentoring, Reviews, Clarity, Coaching
Specialization
Finance economics math computer science information systems or related field
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Program Director (Workforce Development) - Ohio at Molina Healthcare
Ohio, Ohio, USA - Full Time
Skills Needed
Stakeholder Engagement, Presentation Skills, Communication Skills
Qualification
Graduate
Experience Required
Minimum 10 year(s)
Specialist, Configuration Oversight at Molina Healthcare
Meridian, Idaho, USA - Full Time
Skills Needed
Documentation, Microsoft Applications, Excel, Qnxt, Outlook, Teams, Powerpoint
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Representative, Medication Therapy Management Services (Remote)(Bilingual) at Molina Healthcare
Syracuse, New York, USA - Full Time
Skills Needed
Excel, Customer Service Skills, Phone Etiquette, Outlook
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Accreditation Program Manager - NCQA SME at Molina Healthcare
Grand Island, Nebraska, USA -
Full Time


Start Date

Immediate

Expiry Date

07 Dec, 25

Salary

77969.0

Posted On

08 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Leadership, Communication Skills, Visio, Continuous Improvement, Cphq, Medicare, Analytical Skills, Strategic Thinking, Written Communication, Public Health, Microsoft Project, Managed Care, Clinical Quality, Business Writing, Excel, Quality Improvement

Industry

Information Technology/IT

Description

JOB DESCRIPTION

Job Summary
Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering on NCQA accreditation requirements. Plans and directs schedules, reporting, process improvement, and implores continuous quality improvement. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions’ primary focus is project/program management.
Job Duties
Program Oversight & Project Management
Directs accreditation work plans and timelines to meet NCQA and contractual deadlines.
Manages cross-functional teams and external vendors to ensure deliverables align with NCQA standards.
Oversees submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness.
Compliance & Quality Improvement
Monitors key performance indicators (KPIs) and facilitates root cause analyses.
Leads internal audits and file review rehearsals.
Ensures survey readiness by maintaining documentation and evidence of compliance.
Consultation & Collaboration
Serves as a strategic advisor to market teams, mentoring them through the accreditation process.
Facilitates workgroups and committee meetings to address market-specific barriers and drive improvement.
Coordinates with Delegation Oversight to ensure vendor and delegate compliance.
Reporting & Documentation
Writes narrative reports interpreting regulatory specifications and documenting program outcomes.
Maintains and updates policies, procedures, and accreditation-related resources.

REQUIRED EDUCATION :

Bachelor’s degree or equivalent experience in healthcare or public health.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

3-5 years of Program and/or Project management experience.
Operational Process Improvement experience.
Healthcare experience.
Experience with Microsoft Project and Visio.
Excellent presentation and communication skills.
Experience partnering with different levels of leadership across the organization.

PREFERRED EDUCATION :

Master’s in Public Health, Nursing, or Clinical Quality.

PREFERRED EXPERIENCE :

Minimum 5 years in healthcare, with 2+ years in health plan quality improvement or managed care. (HIGHLY PREFERRED)
Strong knowledge of NCQA standards and EQRO functions. (HIGHLY PREFERRED)
Proficiency in Excel, Visio, and project management tools.
Demonstrated business writing and analytical skills.
Certified Professional in Healthcare Quality (CPHQ).
Experience with Medicare and Medicaid programs.
Familiarity with NCQA file review standards and surveyor interactions.
Experience with conducting Utilization Management and Population Health Management file audits, reporting results, and working collaboratively to create remediation plans.
Skills & Competencies
Strategic thinking and problem-solving.
Strong oral and written communication.
Ability to lead cross-functional teams and manage multiple priorities.
Detail-oriented with a focus on compliance and continuous improvement.
Able to work in a highly matrixed environment, independently and in cross functional teams, and ability to be a self-motivator.

Responsibilities

Please refer the Job description for details

Accreditation Program Manager - NCQA SME at Molina Healthcare
Grand Island, Nebraska, USA - Full Time
Skills Needed
Leadership, Communication Skills, Visio, Continuous Improvement, Cphq, Medicare, Analytical Skills, Strategic Thinking, Written Communication, Public Health, Microsoft Project, Managed Care, Clinical Quality, Business Writing, Excel, Quality Improvement
Specialization
Healthcare or public health
Qualification
Graduate
Care Management Processor - Remote (Must reside in MA) at Molina Healthcare
Massachusetts, Massachusetts, USA - Full Time
Skills Needed
Case Management Services, Ged
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Senior Business Analyst (Health Plan Enrollment) - REMOTE at Molina Healthcare
Roswell, New Mexico, USA - Full Time
Skills Needed
Testing, Traceability Matrix, Cost Savings, Revenue, Business Analysis, Internal Customers, Research, Design, Functional Requirements, Operational Requirements, Requirements Workshops, Process Descriptions
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Transition of Care Coach (RN) at Molina Healthcare
Spokane, WA 99201, USA - Full Time
Skills Needed
Nutrition, Signs, Certified Case Manager, Service Providers, Advance Directives, Functional Support, Ccm, Consultation, Discharge Planning, Barriers, Care Coordination, Hospitalists, Medication Reconciliation
Qualification
Graduate
Experience Required
Minimum 1 year(s)
AVP, Medicare Duals Optimization (REMOTE) at Molina Healthcare
Cincinnati, Ohio, USA - Full Time
Skills Needed
Government Programs, Teams, Oversight, Excel, Managed Care
Qualification
Graduate
Representative, Customer Experience at Molina Healthcare
Texas, Texas, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Senior Analyst, Advanced PDM at Molina Healthcare
Rochester, New York, USA - Full Time
Skills Needed
Sql, Interpersonal Skills, Initiation, Adoption, Key Metrics, Excel, Functional Specifications, Healthcare Industry, Adherence, Timelines, Collaboration, Completion, Healthcare Management, Optimization, Training
Specialization
Business administration healthcare management or a related field or equivalent combination of education and experience
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Child Life Specialist Opportunities with Norton Healthcare in Louisville, K at Norton Healthcare
Louisville, KY 40201, USA - Full Time
Skills Needed
Good Communication Skills
Specialization
Child life child development psychology education or other health-related field
Qualification
Graduate
Specialist, Community Engagement Medicare (must reside in Wisconsin) at Molina Healthcare
Green Bay, WI 54303, USA - Full Time
Skills Needed
Completion, Relationship Building, Sales Skills, Salesforce.Com, Referrals, Tracking Systems, Community Centers, Sales Presentations, Community Outreach, Group Presentations
Qualification
Diploma
Surgery Center Administrator at Athena Healthcare
Cincinnati, OH 45227, USA - Full Time
Skills Needed
Communication Skills, Finance
Specialization
Healthcare administration preferred
Qualification
Graduate
Experience Required
Minimum 3 year(s)
Medical Director at Molina Healthcare
Phoenix, Arizona, USA - Full Time
Skills Needed
Utilization Management, Medicaid, Consensus Building, Disease Management, Capitation, Communication Skills, Medicine, Medicare, Public Health, Program Management, Quality Improvement
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Community Engagement & Growth Specialist (Upstate NY, Rochester Preferred) at Molina Healthcare
Syracuse, New York, USA - Full Time
Skills Needed
Healthcare Marketing, Healthcare Industry, Schedules, Influencer, Educational Materials, Community Engagement, Membership
Specialization
Marketing or related discipline
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Psych Tech at Zodiac Healthcare
Rochester, New York, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Program Manager - Texas Directed Payment Program (DPP)/Medicaid at Molina Healthcare
Houston, Texas, USA - Full Time
Skills Needed
Microsoft Project, Data Analysis, Visio, Leadership, Communication Skills, Qnxt, Presentation Skills, Managed Care, Sql, Auditing
Qualification
Graduate
Program Manager (Direct Care Provider Workforce) - Ohio at Molina Healthcare
Ohio, Ohio, USA - Full Time
Skills Needed
Leadership, Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Vendor Program Manager at Molina Healthcare
Detroit, Michigan, USA - Full Time
Skills Needed
Leadership, Microsoft Project, Communication Skills, Visio
Qualification
Graduate
Manager, Healthcare Analytics - SQL/Power BI/Databricks - Remote - 2033281 at Molina Healthcare
Long Beach, CA 90802, USA - Full Time
Skills Needed
Reporting Requirements, Liaison, Economics, Data Analysis, Medical Management, Interfaces, Computer Science, Project Documentation, Finance, Information Systems, Financial Analysis, Report Development, Business Logic, Mentoring, Reviews, Clarity, Coaching
Specialization
Finance economics math computer science information systems or related field
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Program Director (Workforce Development) - Ohio at Molina Healthcare
Ohio, Ohio, USA - Full Time
Skills Needed
Stakeholder Engagement, Presentation Skills, Communication Skills
Qualification
Graduate
Experience Required
Minimum 10 year(s)
Specialist, Configuration Oversight at Molina Healthcare
Meridian, Idaho, USA - Full Time
Skills Needed
Documentation, Microsoft Applications, Excel, Qnxt, Outlook, Teams, Powerpoint
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Representative, Medication Therapy Management Services (Remote)(Bilingual) at Molina Healthcare
Syracuse, New York, USA - Full Time
Skills Needed
Excel, Customer Service Skills, Phone Etiquette, Outlook
Qualification
Diploma
Experience Required
Minimum 1 year(s)

Healthcare Jobs in USA

The healthcare sector in the United States is a vast and dynamic field, offering a multitude of career opportunities. From clinical roles to administrative positions, the industry caters to a wide range of professionals. As per the stats, there will be 600,000 job vacancies in the healthcare sector by 2030. The growth of this sector is driven by an aging population, advances in medical technology, and ongoing public health initiatives. This environment creates a fertile ground for job seekers - from new graduates to experienced professionals—to find rewarding careers that make a significant impact on community health and well-being.

Healthcare Job Market in USA

The U.S. healthcare job market is robust and consistently expanding. Key factors contributing to this growth include:

  1. Aging Population: Increased need for chronic disease management, long-term care, and specialized medical services.
  2. Technological Advancements: Innovations in telemedicine, electronic health records, and medical devices are reshaping the way healthcare is delivered.
  3. Policy and Regulatory Changes: Recent healthcare reforms and policy updates have spurred investments in health infrastructure, leading to more job openings.
  4. Diverse Career Opportunities: The market spans clinical care, research, administration, and support services, offering varied pathways for career development.

High in-Demand Healthcare Job Roles in USA

Several roles are particularly sought-after in the U.S. healthcare landscape:

  1. Nurse Practitioner
  2. Physician Assistant
  3. Speech-Language Pathologist
  4. Veterinarian
  5. Nurse Anesthetist
  6. Veterinary Technologist and Technician
  7. Physical Therapist

Top Healthcare Companies Hiring Foreign Nationals in USA

Many leading healthcare organizations in the United States recognize the value that internationally trained professionals bring to the industry. Top companies known for hiring foreign nationals include:

  1. Mayo Clinic
  2. Cleveland Clinic
  3. Johns Hopkins Medicine
  4. Kaiser Permanente
  5. HCA Healthcare
  6. Ascension Health
  7. Tenet Healthcare
Loading...